REVITALIZE PSYCHOLOGICAL SERVICES, PLLC
NPI 1942186010
Psychologist - Clinical in Macomb, MI

Q: What is Revitalize Psychological Services, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since August 14, 2025

16080 NATHAN DR, MACOMB, MI 48044(586) 822-9711 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Revitalize Psychological Services, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVITALIZE PSYCHOLOGICAL SERVICES, PLLC (NPI 1942186010) is a healthcare organization registered as a clinical in Macomb, Michigan and active in the NPI registry since August 2025. The organization lists Sanela Kalakovic, Owner, as its authorized official.

NPPES Registry Identity

NPI1942186010

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameREVITALIZE PSYCHOLOGICAL SERVICES, PLLC

Location Address16080 NATHAN DRMacomb, MI 48044-4959

Mailing Address16080 Nathan DrMacomb, MI 48044-4959

Phone(586) 822-9711

Organization SubpartNo

Authorized OfficialSanela KalakovicOwner · (586) 822-9711

Enumeration DateAugust 14, 2025

NPPES CertifiedAugust 14, 2025

✔ NPI 1942186010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

16080 NATHAN DR, Macomb, MI 48044

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revitalize Psychological Services, PLLC's NPI number?

The NPI number for Revitalize Psychological Services, PLLC is 1942186010. It was assigned to this organization in the NPPES registry on August 14, 2025.

Where is Revitalize Psychological Services, PLLC located?

Revitalize Psychological Services, PLLC is located at 16080 Nathan Dr, Macomb, MI 48044. The listed phone number is (586) 822-9711.

What is Revitalize Psychological Services, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Revitalize Psychological Services, PLLC was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.